Universität zu Köln

Schroeder, W., Lambertz, R., van Hillegesberger, R. and Bruns, C. (2017). Differentiated surgical approach for adenocarcinoma of the gastroesophageal junction. Chirurg, 88 (12). S. 1010 - 1017. NEW YORK: SPRINGER. ISSN 1433-0385

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Abstract

For adenocarcinoma of the gastroesophageal junction (GEJ) the classification of Siewert with its three subtypes is well established as a practical approach to surgical treatment. Transthoracic esophagectomy with gastric tube formation is generally accepted as the surgical standard for adenocarcinoma of the distal esophagus (GEJ type I). Intrathoracic esophagogastrostomy has become the most frequently used anastomotic technique (Ivor Lewis esophagectomy). Both the abdominal and thoracic part can be safely performed with a minimally invasive access. For subcardiac gastric cancer (GEJ type III) transhiatal extended gastrectomy is the resection of choice. For true cardiac carcinomas (GEJ type II) it has not yet been decided which of the abovementioned surgical procedures offers the best long-term survival. If technically possible in terms of a complete resection, transhiatal extended gastrectomy should be preferred because of a better postoperative quality of life. For GEJ type II tumors a minimally invasive approach is not recommended if the extent of resection cannot be safely determined preoperatively.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Schroeder, W. UNSPECIFIED UNSPECIFIED UNSPECIFIED Lambertz, R. UNSPECIFIED UNSPECIFIED UNSPECIFIED van Hillegesberger, R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bruns, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-209302
DOI:	10.1007/s00104-017-0544-7
Journal or Publication Title:	Chirurg
Volume:	88
Number:	12
Page Range:	S. 1010 - 1017
Date:	2017
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1433-0385
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language RANDOMIZED CONTROLLED-TRIAL; ESOPHAGEAL CANCER; ESOPHAGOGASTRIC JUNCTION; NEOADJUVANT CHEMOTHERAPY; RESECTABLE ESOPHAGEAL; OPEN-LABEL; CHEMORADIOTHERAPY; METAANALYSIS; CLASSIFICATION; MULTICENTER Multiple languages Surgery Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/20930